{"id":"6a1938f6-41f2-445c-a0c3-62d2db39abf8","slug":"co-existing-spinal-intradural-ependymal-cyst-and-sacral-tarlov-cyst-in-adult-onset-tethered-cord-syndrome-with-syringomyelia-case-report-and-literature-review","title":"Co-existing spinal intradural ependymal cyst and sacral Tarlov cyst in adult-onset tethered cord syndrome with syringomyelia: Case report and literature review","authors":["Hamid H. Rai","Muhammad F. Khan","Syed Ather Enam","Imtiaz Hashmi"],"abstract":"Background: Synchronous spinal intradural ependymal cysts and sacral Tarlov cysts in adult onset tethered cord syndrome are extremely rare. Case Description: A 23-year-old male presented with back pain radiating into both lower extremities, accompanied by acute onset of gait difficulty and sphincter dysfunction. Magnetic resonance imaging identified a low lying conus medullaris, syringomyelia with septations extending from T12 to S1, a tethered cord, and a thickened filum terminale with a sacral Tarlov cyst. The patient underwent a L3-4 laminectomy for decompression of syringomyelia and excision/biopsy of a space occupying lesion along with S1-2 laminectomy for cord untethering and Tarlov cyst fenestration. Postoperative histopathology confirmed that the lesion was an ependymal cyst. Clinically, patient showed marked improvement in the neurological status. Conclusion: Simultaneous decompressive laminectomy of L3-4 and S1-2 effectively decompressed the syringomyelia while allowing for excision/biopsy of a space occupying lesion at the former and untethering and Tarlov cyst fenestration at the latter levels.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/6a1938f6-41f2-445c-a0c3-62d2db39abf8/featured/hero-1782420837846.png","publishDate":"2016-09-22T00:00:00.000Z","doi":"10.4103/2152-7806.191083","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/6a1938f6-41f2-445c-a0c3-62d2db39abf8/pdf"}